INFORMED CONSENT AGREEMENT
Alliant International University, San Diego Campus
10455 Pomerado Rd.
San Diego, CA 92131
(858) 635-4448
Assessing mental health literacy and competence: A validity study
You are being asked to participate in a research study. However, before you give your consent to be a volunteer, we want you to read the following and ask as many questions as necessary to be sure that you understand what your participation will involve.
INVESTIGATOR
Danielle Beck-Ellsworth, Doctoral Candidate
Narumi Taniguchi, Ph.D. (Supervisor)
PURPOSE OF THE RESEARCH
You are invited to participate in the research project entitled, Assessing mental health literacy and competence: A validity study which is being conducted at Alliant International University under the direction of Danielle Beck-Ellsworth and Dr. Narumi Taniguchi. The purpose of this study is to examine how experts score differently from non-experts on the two measures.
DURATION OF PARTICIPATION IN THE RESEARCH
A total of 140 participants will be involved in this study. The duration of your participation in the study will be up to 15 minutes.
PROCEDURES TO BE FOLLOWED DURING THE RESEARCH
If you agree to participate in this research, the following will be the step by step process.
If you agree to participate, click on the “I accept” button below. You can download a copy of the informed consent and/or the Subject’s Bill of Rights by clicking on the corresponding links. After agreeing to participate, you will be asked demographic questions such as age, gender, ethnicity, education, and eating disorder experience. The first questionnaire includes a vignette with some questions that will ask you what you thought of the vignette (Hay, Darby, & Mond, 2007; Mond, Robertson-Smith, & Veter, 2007). The next questionnaire will have several statements and will ask you to decide if the statements are true or false (Rosenvinge, 2003). The total time for completing these surveys is 15 minutes.
RISKS
We believe that the there are no risks for participating in this study.
BENEFITS OF THE RESEARCH
The only direct benefit to you if you participate in this research may be that you will learn about how mental health literacy and competency are measured. Your participation may help individuals and families with eating disorders in the future.
ALTERNATIVES TO THIS RESEARCH
The alternative is not to participate in the research.
CONFIDENTIALITY
You have a right to privacy and all information identifying you will remain confidential (private), unless otherwise required by law. We will not collect any identifiable information. The results of this study may be published in scientific journals, or be presented at conferences as long as you are not identified and cannot reasonably be identified from it.
QUESTIONS ABOUT THE RESEARCH
If you have questions regarding this research project or your participation, you may call Danielle Beck-Ellsworth at 858-337-9521 or Dr. Narumi Taniguchi at 858-635-4572. Should you have any additional concerns, please contact the Institutional Review Board at Alliant International University (858) 635-4448 during normal working hours.
SUBJECT RIGHTS AND RESEARCH WITHDRAWAL
Your participation in this study is voluntary. If you choose not to participate in this study, there will be no penalty or loss of benefits to which you are otherwise entitled and your relationship with Alliant International University will not be affected. In addition, you may discontinue participation at any time without any penalty or loss of benefits. You may also refuse to answer any questions you do not wish to answer.
We have tried to explain all the important details about the study to you. If you have any questions that are not answered here, the investigator will be happy to give you more information.
SIGNATURE AND ACKNOWLEDGMENT
By clicking on the “I Accept” button below, I am indicating that I have read the above information and I have had a chance to ask questions to help me understand what my participation will involve. I agree to participate in the study until I decide otherwise. I acknowledge that I had the option to download a copy of this agreement. I also have had the option to download a copy of the Subject's Bill of Rights. I understand that by clicking on the “I Accept” button I am not giving up any of my legal rights.
Informed Consent.pdf
Danielle Beck-Ellsworth, MA (Researcher) 858-337-9521 Daniellebe@gmail.com
Narumi Taniguchi, PhD (Chair) 858-635-4572
IRB#: 1611
This study is valid from: 12/18/2009 Until: 12/17/2010